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Transcript
ENDOCRINE GLANDS
• Secrete hormones directly into bloodstream
• Ductless
EXOCRINE GLANDS – secrete substances through a
duct (sweat, salivary, lacrimal and pancreas)
Function of the Endocrine System – to secrete
hormones – chemical messengers that coordinate and
direct target cells and organs.
Hormonal Control
NEGATIVE FEEDBACK
• Drop in hormone level triggers a chain reaction to
increase secretion, for example
1. Blood level of hormone falls
2. Brain gets message and sends out hormone to
stimulate gland
3. Gland stimulates more hormone
4. When blood levels of hormone increase, the
brain hormones stop
Summer 2002 P.17
Nervous Control – in some cases, sympathetic nervous
system causes direct release of hormone from gland
(for example, when stress causes the adrenal medulla to
secrete adrenalin)
PITUITARY GLAND
• Tiny structure the size of a
grape
• Located at the base of the brain
• Connected to the hypothalamus
• Divided into anterior and
posterior lobes
• The “Master Gland”
Pituitary-Hypothalamus Interaction
• Release of hormones from the anterior pituitary are
controlled by “releasing factors” from the
hypothalamus
• While hypothalamus is part of the nervous system, it
produces two hormones that are stored in the
posterior pituitary
Anterior Pituitary Lobe
• GROWTH HORMONE - GH (SOMATOTROPIN)
responsible for growth and development
• PROLACTIN – develops breast tissue, stimulates
production of milk after childbirth
Summer 2002 P.18
• THYROID-STIMULATING HORMONE – TSH stimulates thyroxine
• ADRENOCORTICOTROPIC HORMONE –
ACTH – stimulates adrenal cortex
• FOLLICLE-STIMULATING HORMONE – FSH stimulates growth of graafian follicle and
production of estrogen in females, sperm in males
• LUTEINIZING HORMONE – LH – stimulates
ovulation and formation of corpus luteum, which
produces progesterone in females
• INTERSTITIAL CELL-STIMULATING
HORMONE – ICSH – production of testosterone by
interstitial cells of testes in male
Posterior Pituitary Lobe
• VASOPRESSIN – converts to ADH (antidiuretic
hormone) in the bloodstream, acts on kidney to
concentrate urine and preserve H2O in the body
• OXYTOCIN – released during childbirth causing
contractions of the uterus
Summer 2002 P.19
THYROID GLAND
• Butterfly-shaped mass of tissue
• On either side of larynx, over trachea
• H-shaped
• Main hormone – THYROXINE – is controlled by
the secretion of TSH
• Thyroxine controls the rate
of metabolism
• CALCITONIN – controls
calcium ion concentration in
the body, prevents
hypercalcemia
PARATHYROID GLANDS
• Four glands, each the size of a grain of rice
• Attached to posterior thyroid
• Produce PARATHORMONE which helps control
blood calcium level, prevents hypocalcemia
THYMUS
• Endocrine gland and lymphatic organ
• Located behind the sternum, above and in front of
the heart
• Begins to disappear at puberty
Summer 2002 P.20
Summer 2002 P.21
ADRENAL GLANDS
• Located on top of each kidney
• Adrenal cortex secretes hormones known at
corticoids – they are anti-inflammatory
• They are: mineralcorticoids, glucocorticoids, and
sex hormones
• ANDROGENS are male sex hormones
• Adrenal medulla secretes epinephrine (adrenalin)
and norepinephrine
• ADRENALIN is a powerful
cardiac stimulent – “fight or
flight” hormones that prepare the
body for an emergency situation
GONADS
• Ovary in female
• Testes in male
• Estrogen – development of female reproductive
organs, secondary sex characteristics
• Progesterone – plays a part in the menstrual cycle
• Testosterone – male reproductive organs and
secondary sex characteristics
Summer 2002 P.22
PANCREAS
• Located behind the stomach
• Endocrine and exocrine functions
• Involved in production of INSULIN by ISLETS
OF LANGERHANS
• Insulin – promotes utilization of glucose by the
cells, fatty acid and amino acid transport, and
facilitates protein synthesis
• Other cells in islets of Langerhans secrete
glucagon, action may opposite that of glucose
(increase glucose in bloodstream)
PINEAL GLAND – located in 3rd ventricle in brain,
produces melatonin
Other Hormones
PROSTAGLANDINS – tissue hormones, can cause
constriction of blood vessels, muscle contractions. Can
be used to induce labor.
Summer 2002 P.23
Summer 2002 P.24
GIGANTISM
• Hyperfunction of pituitary – too much growth
hormone
• In preadolescent – overgrowth of long bones leads
to excessive tallness
ACROMEGALY
• Hyperfunction of pituitary – too much growth
hormone in adulthood
• Overdevelopment of bones in face, hands and feet
• Attacks cartilage – so the chin protrudes, lips nose
and extremities enlarge
• Rx – drugs to inhibit growth hormone, radiation
DWARFISM
• Hypofunction of pituitary in childhood
• Small size, but body proportions and intellect are
normal
• Sexual immaturity
• Rx – early diagnosis, injection of growth hormone
Summer 2002 P.25
DIABETES INSIPIDUS
• Drop in amount of ADH from posterior pituitary,
excessive loss of water
• Symps – polyuria and polydipsia
HYPERTHYROIDISM
• Overactive thyroid gland
• Too much thyroxin secreted leading to
enlargement of gland
• People with this disease consume large quantities
of food but lose body fat and weight
• Most pronounced symptoms are enlargement of
glad (GOITER) and bulging of
eyeballs (EXOPHTHALMOS)
• Rx – total or partial removal of
thyroid gland, drugs to reduce
thyroxin, radiation
HYPOTHYROIDISM
• Not enough thyroxine secreted
• May be due to lack of iodine (simple goiter)
• Major cause of other types is inflammation of
thyroid which destroys the ability of the gland to
make thyroxine
• Symps – dry and itchy skin, dry and brittle hair,
constipation, muscle cramps at night
Summer 2002 P.26
MYXEDEMA
• Hypothyroidism in adults
• Face gets swollen, weight increases
• Rx – daily medication of thyroxine
CRETINISM
• Hypothyroidism in early infancy or childhood
• Lack of mental and physical growth causes mental
retardation and very small stature
• Rx – thyroid extract – damage cannot be undone
but treatment can halt progression
TETANY
• In hypoparathyroidism, decreased calcium levels
affect function of nerves
• Convulsive twitching develops, person dies of
spasms in the respiratory muscles
• Rx – Vitamin D, calcium and parathormone
Summer 2002 P.27
CUSHING’S SYNDROME
• Hypersecretion of adrenal cortex
• May be caused by adrenal cortical tumor or
prolonged use of prednisone
• Symps – high blood pressure, muscle weakness,
obesity, poor healing, tendency to bruise, hirsutism
(excessive hair growth), menstrual disorders
• Rounded moon face and buffalo hump
• Rx – surgical
removal of tumor
ADDISON’S DISEASE
• Hypofunction of
adrenal cortex
• Symps – bronzing of skin, hypoglycemia,
hypotension, etc.
• Rx – replace deficient hormones
Steroid Abuse in Sports
• Anabolic steroids (androgens) can help build
bigger, stronger muscles
• Risks far outweigh temporary improvements –
males have liver changes, atrophy of testicles,
breast enlargement, and cardiovascular disease
• Female risks include amenorrhea, abnormal
placement of body hair, baldness, voice changes
Summer 2002 P.28
DIABETES MELLITUS
• Caused by secretion of insulin
• Can be insulin dependent (juvenile) or non-insulin
dependent
• Symps – polyuria, polyphagia, polydypsia, weight
loss, blurred vision, and possible diabetic coma
• If not treated, excess glucose in blood
(hyperglycemia) and glucose secreted in urine
(glycosuria)
• Since glucose not available for cellular oxidation,
body starts to burn up protein and fat
• If too much insulin is given, blood sugar may go
too low (hypogycemia insulin shock)
• If blood sugar gets too high – hyperglycemia
diabetic coma
• Type II (non-insulin dependent) is most common,
usually familial, occurs later in life, control with
oral hypoglycemic drugs and diet
• Tests for Diabetes – blood sample measured in
glucometer – done by patient in home – normal
blood sugar 80-100 mg
Summer 2002 P.29
SEASONAL AFFECTIVE DISORDER
• Also called “cabin fever”, “winter blues” or
“sunshine disorder.”
• Depression or anxiety people feel during dark days
of winter
• Cause – may be due to increase in melatonin from
pineal gland
• Rx - sunshine
Summer 2002 P.30